In need of a professional dispatcher?

Apply for Dispatch Services

Let our team help you search for loads, negotiate rates, complete carrier packets, and coordinate your shipments.

PART 1: CARRIER GENERAL INFORMATION

Please complete this form giving us all the information that pertains to you and your company. The better informed we are, the better we will be able to assist you. This form should be updated at any time by notifying us. This information is for our use only and will not be released to any third party without your express written permission[cite: 8].

COMPANY NAME *

DBA (If Any)

PHYSICAL ADDRESS *

CITY *

STATE *

ZIP *

MAILING ADDRESS

CITY

STATE

ZIP

MAIN CONTACT PERSON *

E-MAIL *

OFFICE PHONE *

FAX

CELL PHONE

EMERGENCY CONTACT PERSON

EMERGENCY PHONE

MC NUMBER *

YEARS ACTIVE

DOT NUMBER *

SCAC

PART 2: EQUIPMENT TYPES

53’ VAN

53’ REEFERS

48’/53’ FLATBED

POWER ONLY

Box Truck

HOTSHOT

TANKER

OTHER

Truck #'s

Trailer #'s

Trailer Accessories for your specific equipment types (Dry Van, Reefer, and Flatbed)

OTHER TYPES

PLEASE LIST THE BROKERS THAT YOU ARE ALREADY SET UP OR APPROVED WITH BELOW

DISPATCH SPECIFICATIONS

Please give us your minimum cents per mile information. We understand that many factors will change this information, but this will give us a starting point[cite: 8].

CENTS ($) PER MILE *

MAX # OF PICK UPS

MAX # OF DELIVERIES

DRIVER TOUCH (Y/N)

Mountains? (Y/N)

TOLLS? (Y/N)

Weight Limit

HOME TIME

ENDORSEMENTS (Y/N)

TYPE OF ENDORSEMENTS

CLEARANCE TYPE (TWIC, DBID, RAPID GATE, STA)

Areas (ZONES) of the USA you like to travel – Please check all that apply

COMMENTS

Insurance Information

Insurance Company *

Policy # *

Agent Name & Contact # *

Auto Liability Coverage ($) (minimum $1,000,000) *

Cargo Coverage ($) (minimum $100,000) *

General Liability (if applicable) ($)

Carrier Responsibilities, Terms & Dedicated Lane Compensation

Method of Payment: Carrier authorizes Broker to Invoice Carrier directly. Late payments may result in suspension or termination of services[cite: 8]. Dedicated lane compensation requires 20% weekly gross revenue per truck[cite: 8].

I acknowledge Carrier Responsibilities, Dispatch-Only Relationship, Limitation of Liability, Indemnification, and Method of Payment terms[cite: 8] *

I agree to the 20% dedicated lane fee structure for recurring loads secured or managed through Broker's efforts[cite: 8] *

Required Documents

When returning the Dispatcher Packet, which includes the completed Dispatcher Agreement, the Carrier Profile and the Limited Power of Attorney, please include COPIES of your MC Authority Letter (Certificate), Certificate of Insurance (C.O.I.), and W9. If you are working with a factoring company, please also include a copy of factoring company's credit application so that they can run the credit on the brokers and send a Notice of Assignment (N.O.A.) if the credit is favorable[cite: 8].

Upload Documents (MC Authority, COI, W9, NOA) *

ELECTRONIC SIGNATURES

Electronic acceptance and signatures shall be binding and enforceable[cite: 8].

Authorized Signature (Type Full Name) *

Date *

Submitting this application does not guarantee approval or dispatch services. Dispatch services will not begin until all required documents have been completed and approved.

What happens next?

Please allow 24–48 business hours for review. Once your form has been reviewed, we will email you the Limited Power of Attorney (POA) document that must be signed and returned to complete the process[cite: 8].